Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00803
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2018
l ''�I.n9 Parcel: 2S102BA00304
Jurisdiction: Tigard
Site address: 9826 SW TIGARD ST
Project: Barrier Corporation Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 22
Project Description: Replacing(1)RTU,and installing(1)exhaust fan and gas piping for TI.
Contractor: LATIMER HVAC LLC Owner: TIGARD INDUSTRIAL LLC
11230 SW MORGEN CT 5845 JEAN RD
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
PHONE: 503-290-1085 PHONE: 503-524-7730
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/24/2018 $601.71
Class of Work: ALT Type of Const: VB Plan Review 10/24/2018 $150.43
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/24/2018 $72.21
Stories: Info Process/Archiving-Lg$2.00(over 10/24/2018 $2.00
11x17)
Project Valuation: $20,000.00 Info Process/Archiving-Sm$0.50(up to 10/24/2018 $10.00
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 1 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 1 Vent Systems: Total $836.35
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.806.332.2344.
Issued By: ` /j; Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE I. ONLI
ilhCity of Tigard ReceivedDateBy: /�/7 ,8' dam_ Permit No.: Ni g,,... ,1)8-e
13125 SW Hall Blvd.,Tigard,OR 9722 r I ✓�� !u tJC10✓
_ E 1$ F:1,, Plan Review
Phone: 503.718.2439 Fax: 503.598.1 9„ �l Other Permit: .:2n (/_
V
Date/By: !'a •� % _.� / �'i"'�,,/".c�0
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: /��/�� �r mns: El See rage 2 for
Internet: www.tigard-or.gov ti 6 - 3 2018 ..tified/Method: G(J /, Supplemental Information
,YPE OF willfiTY OF TIGARD COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
❑ ll 11 i5 (µ o�g t I I°N' Mechanical permit fees*are based on the value of the work
New construction Addition/alte a trll$�la elrtefl performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ '7j01 000
CATEGORY OFCONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* _
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
t,n _ �! s� ,-, 5Air conditioning 46.75
Job site address: l��,(�JJ + --
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T.pAytt or.. q,--1-12-3 Furnace 100,000+BTU(ducts/vents) 54.91
,,I Heat pump 61.06
Suite/bldg./apt.no.: Project name: 1 Q aVd (A6KS h/( k6a Duct work 23.32
Cross street/directions to job site: v Hydronic hot water system 23.32
r7Nq Residential boiler(radiator or
' C 'SZ-4/ _ - 4� CS-1 Cjikvit hydronic) 23.32
Unit heaters(fuel-type,not electric),
iO 5' i in-wall,in-duct,suspended,etc. 46.75
6 /Fig _ 01 4 -4fl Flue/vent for any of above 23.32
Subdivision: r'3 �-` Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
} Flue vent for water heater or gas
Prt,nc L$ I C1,J1 ,vJ yock0 e 14)poi taw u,rui- 61A. ',dti3M4 (l fireplace 23.32
`PCTAI Kik 1 C(A�t WI) VIA. U 4 tl t,1F � f Log Wood/pelletlighte (gas)to23.32
'" � �` stove 33.39
k.M vk Cuvt 00k( dktS kil!MIf (V1 , 16.S ?irki, Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
[Zf PROPERTY OWNER 1 ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:7 i""rot (rritts I't d f"� -�' 1",� Range hood/other kitchen
d " equipment 33.39
Address: t] 'v f Y(p Clothes dryer exhaust 33.39
City/State/ZIP: J j VV�v� i O TO Single-duct exhaust(bathrooms,
g toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT ,CONTACT PERSON Other: 23.32
Fuel piping:
Business name: + kliwwy H VAiC $14.15 for first four;$4.03 for each additional
Contact name: Cl i K h ,(,v Furnace,etc.
Address: I I`1, U Sip' A O (V1^- C,l' Gas heat pump
I"� UWall/suspended/unit heater
City/State/ZIP: I e{1/(,I e 0617T 72, S Water heater
Phone:(OM ) 7 4L��(74 7,4 Fax::( ) Fireplace
v Range
E-mail: g°Q( 0,6)) 1 kV(t . Barbecue
U` t CONTRACTOR` Clothes dryer(gas)
Business name: Lip--i
k WWY H 1(16 Other: _
1 /( / ,'n / MECHANICAL PERMIT FEES*
Address: \I ,33 b J i r'`b{o,Q,y `. Subtotal
Y" Minimumpermit fee $90.00
City/State/ZIP: (�v{ ✓� � � �� ( )
Phone:(�O `1./4 td �(� �'"q Fes;( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.: ' TOTAL PERMIT FEE
t This permit application expires if a permit is not obtained within 180
1 days after it has been accepted as complete.
Authorized signature: C7 * Fee methodology set by Tri-County Building Industry Service Board
Print name: r(I I/((t LeithvlAW Date: (6'?�(1(L
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11//02/COM/WEB)
A
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9826 SW TIGARD ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00803
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor